金吾财讯 | 联合健康集团(UNH)发布外部第三方审计结果，针对旗下家庭访视服务板块 HouseCalls 相关医保收费争议作出回应，审计机构 FTI Consulting 出具报告显示，2025 年该业务临床医师出具的诊断记录准确率超 96%，仅 3.4% 诊断内容缺少患者医疗档案佐证。
此前政府专项调查披露，多家头部医保企业依托健康风险评估开具存疑诊断单据，2023 年通过该方式向联邦医疗保险 (Medicare) 超额收取数十亿美元款项，联合健康集团卷入相关行业争议，外界质疑 HouseCalls 业务依靠不实诊断套取医保额外补贴。
本次第三方专项审计由企业自主委托开展，审计数据成为企业佐证业务合规性的核心依据，但行业医保收费监管仍持续收紧，后续监管机构将持续核查全行业健康评估诊断单据的真实性，相关核查结果将持续影响医疗保险板块市场情绪。
Disclaimer: Investing carries risk. This is not financial advice. The above content should not be regarded as an offer, recommendation, or solicitation on acquiring or disposing of any financial products, any associated discussions, comments, or posts by author or other users should not be considered as such either. It is solely for general information purpose only, which does not consider your own investment objectives, financial situations or needs. TTM assumes no responsibility or warranty for the accuracy and completeness of the information, investors should do their own research and may seek professional advice before investing.